Provider Demographics
NPI:1356642508
Name:BROWN, LUCIA (PA-C)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5771 ENID STREET
Mailing Address - Street 2:NOVA HEALTHCARE P.A.
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-1208
Mailing Address - Country:US
Mailing Address - Phone:713-880-4400
Mailing Address - Fax:713-869-8637
Practice Address - Street 1:367 GREENS ROAD
Practice Address - Street 2:NOVA MEDICAL CENTERS
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-1903
Practice Address - Country:US
Practice Address - Phone:281-875-1800
Practice Address - Fax:281-875-1807
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA03072363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical